A Clinician Is Evaluating a Client with Rheumatoid Arthritis

question 4

Multiple Choice

A clinician is evaluating a client with rheumatoid arthritis.In addition to the client-centered interview,occupational profile,and occupational performance evaluation,the therapist wishes to document the clinical status.The clinician notices severe hand deformities and joint enlargements that may make goniometric measurements difficult.How should the therapist go about documenting digit flexion?

• A) The therapist will be unable to measure the joint flexion because of the deformities.
• B) The therapist should measure the distance from the fingertips to the distal palmar crease with a ruler.
• C) The therapist should measure over the joint enlargements at each joint.
• D) The therapist should account and subtract for the enlarged joint in determining the joint flexion.

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Definitions:

Protein Synthesis

The process by which cells construct proteins, translating RNA encoded genetic information into a sequence of amino acids to form a specific protein.

Codons

Sequences of three nucleotides in mRNA that specify the addition of a specific amino acid during protein synthesis, or signal the end of protein synthesis.

Cultural Processes

the dynamic mechanisms through which cultures are formed, maintained, and transformed over time, including adaptation, innovation, and communication.

Environmental Adaptation

The process by which organisms adjust to changes in their habitat or environment, often resulting in biological or behavioral changes.